A 56-year-old Woman presented to her general practitioner with a 2-day history of general malaise, sore throat, and a feeling of a lump in the throat. Her physician did not detect anything abnormal on physical examination and diagnosed an upper respiratory tract infection. Cephalexin therapy was initiated, with slight improvement. The next day, the patient swam in the sea and immediately afterward noticed marked and rapid neck swelling, which was demarcated by the neckline of her swimsuit (Figure 1). She immediately presented to her otolaryngologist describing further symptoms of dysphagia, odynophagia, and dysphonia without stridor. She was a nonsmoker and did not drink alcohol. Her first cousin had “hereditary clotting problems,” the nature of which was unclear. She had previously undergone several operations, including hernia repair and dental extractions, with no excess bleeding noted. She was nulliparous.
De Zoysa N, Vasani S, Prasad V, Stearns M. Radiology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2009;135(3):316–319. doi:10.1001/archoto.2008.551-a
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: